Search Results (128)

Shoreline configurations are a complex outcome of the dynamic interplay between natural forces and human actions. This interaction shapes unique coastal morphologies and affects sediment transport and erosion patterns along the coastline. Meanwhile, ephemeral river systems play a vital role in shaping coastlines and maintaining ecosystem sustainability, especially in island settings. In this context, the present study seeks to develop a holistic approach that views coast and watershed systems as a continuum, aiming to investigate their relationships in an island environment, while accounting for human interventions in the river regime. For this task, the empirical USLE method was employed to quantify sediment production and transport from the catchment area to the coast, while hydraulic simulations using HEC-RAS were conducted to assess sediment retention within flood-affected areas. Moreover, coastal vulnerability to erosion was evaluated by applying the InVEST CVI model in order to identify areas at risk from environmental threats. The coastal zone of Petra–Molyvos, Lesvos, Greece, was selected as the study area due to ongoing erosion issues, with particular emphasis on its interaction with the Petra stream as a result of significant human intervention at its mouth. According to the study’s findings, the examined coastal zone is highly vulnerable to combined erosion from wind and waves, while the river’s mouth receives only a small amount of sediment from water fluxes. Evidently, this leads to an increase in beach retreat phenomena, while highlighting the necessity for integrated coastal–watershed management. Full article

Water erosion is a significant global threat due to the high soil loss rate and all its consequent implications. Technologies to predict erosion are strongly related to measurements and vice versa. Measurements can simply provide empirical evidence of the erosion process and are hard to extrapolate in time and space. Measurements were used to develop some erosion models, such as the Universal Soil Loss Equation (USLE), and also for their calibration and validation. Several measurement techniques are used to collect soil erosion data at different spatial and temporal scales, but they cannot be considered fully accurate in any experimental condition. Each technique exhibits advantages and disadvantages, so extensive knowledge of their feasibility, accuracy, and limitations is required to correctly plan experiments and use the performed measurements. In this paper, recent scientific developments on the measurement of rainfall erosivity, soil loss at the plot scale, and rill and gully erosion using close-range photogrammetry are presented. Further considerations are made on the quality of soil erosion measurements and the usefulness and importance of measuring plot soil loss. Our critical analysis highlighted that the techniques reported in the literature are a solid basis, which, however, should be developed to improve their range of applicability and data quality. Full article

Introduction: Dry eye disease (DED) is a very frequently encountered ocular disease, making it a growing public health burden. However, current treatments for DED present unmet medical needs owing to their side effects or ineffectiveness. Therefore, an effective and safe therapeutic agent to manage DED is needed. Method and Analysis: We planned a phase 2, dose-finding, double-blind, randomized placebo-controlled trial to evaluate the efficacy and safety of two different doses of USL (Useul), the extract of Achyranthis Radix, compared with placebo, for DED. USL has been found to protect against DED by inducing tear secretion and improving corneal irregularity via anti-inflammatory effects, which will provide new therapeutic options. One hundred and twenty participants will be enrolled, after assessing the inclusion/exclusion criteria, at Daejeon University Daejeon Korean Medicine Hospital. Enrolled participants will be allocated to standard-dose USL, high-dose USL, or placebo groups in a 1:1:1 ratio and will be required to administer the trial medication twice a day for 12 weeks and visit the clinic five times. For efficacy outcomes, objective endpoints of fluorescein corneal staining score, tear break-up time, Schirmer’s test, and meibomian test and subjective endpoints of Ocular Surface Disease Index, visual analog scale, Standard Patient Evaluation for Eye Dryness-II, and biomarkers will be assessed throughout the trial. Safety will be assessed based on adverse events, vital signs, laboratory tests, visual acuity, and intraocular pressure. Discussion: Our study results are expected to provide clinical evidence for the use of DED as an effective and safe agent for DED. Full article

Background/Objectives: This study investigated patient pain descriptors for transvaginal ultrasound (TVS) diagnostic evaluation of endometriosis for uterosacral ligaments (USLs), including correlation between USL thickness and site-specific tenderness (SST). It further investigated if SST could positively assist diagnosing endometriosis on TVS. Methods: TVS images and SST pain descriptors were collected from 42 patients. SST was evaluated by applying sonopalpation during TVS. The images were presented to six observers for diagnosis based on established USL criteria. Following this, they were given the SST pain scores and asked to reevaluate their diagnosis to assess if the pain scores impacted their decision. Results: An independent t-test showed that the patients with an endometriosis history had higher pain scores overall (7.2 ± 0.59) compared to the patients with no history (0.34 ± 0.12), t (40) = 8.8673. Spearman’s correlation showed a strong correlation to the pain scale score for clinical symptoms (r = 0.74), endometriosis diagnosis (r = 0.78), USL thickness (r = 0.74), and when USL nodules were identified (r = 0.70). Paired t-tests showed that the observers demonstrated a higher ability to correctly identify endometriosis with the pain scale information (33 ± 8.83) as opposed to not having this information (29.67 ± 6.31), which was a statistically significant change of 3.33, t (5) = 2.7735. Conclusions: Patients with an endometriosis history have significantly higher pain scores on TVS compared to patients with no endometriosis history. A strong correlation was shown between SST pain scores and patient symptoms, USL thickness, and USL nodules. Inclusion of SST alongside TVS imaging shows promise, with these results demonstrating a higher ability to diagnose endometriosis with additional SST pain scale information. Full article

Acousto-optic modulators (AOMs) have been widely used in ultra-stable lasers (USLs) for optimizing its performances. A thermal theoretical model of the AOM, which is made by TeO₂, was established. Based on the model, the temperature coefficients of the diffraction angle and efficiency were calculated to be 4.051 μrad/°C and 0.018%/°C. The influences of thermal effects of the AOM on USLs’ cavity coupling and frequency stability were firstly studied. A 1 °C temperature change in the AOM results in a 0.31 Hz frequency fluctuation of the laser within the USL cavity. Simulation and experimental results indicate that, to achieve USLs’ optimal performance, thermal effects of AOMs within the system must be addressed and managed. Full article

Land use is a remarkable human-induced change that has redesigned the Earth’s surface since the beginning of civilization. Due to the combination of rugged terrain and low-income levels in rural areas, people in watershed regions often resort to overexploiting forests, agricultural land, and grasslands beyond their capacity. As a result of these spatio-temporal changes in land use, various soil properties undergo changes. This study aims to determine the changes in some physical (texture, bulk weight, particle density, total porosity), hydro-physical (water holding capacity, permeability, field capacity, wilting point), physico-chemical (organic matter, pH, electrical conductivity), and erodibility (dispersion ratio, colloid–moisture equivalent ratio, erosion ratio, clay ratio, aggregate stability and K-factor of Universal Soil Loss Equation-USLE) properties of soil depending on land use in the Deviskel Watershed in the city of Artvin in Türkiye. For this purpose, disturbed (composite) and undisturbed (cylinder) soil samples were taken from a 0 to 20 cm depth at 108 different points in the determined areas (36 from forests, 36 from agricultural areas, and 36 from grassland areas). It was determined that 15 of the 19 soil properties examined showed statistical differences depending on the change in land use. All the examined soil properties, except for clay content, particle density, dispersion ratio, and aggregate stability, were found to be statistically significantly affected by the change in land use, and the reasons behind these changes were discussed. The particle density had the lowest coefficient of variation value (15.26%) while electrical conductivity had the highest coefficient of variation value (91.25%). According to erosion tendencies, all watershed soils were found to be susceptible to erosion. The average aggregate stability was 88.52% in forest soils, 84.84% in agricultural soils, and 85.48% in grassland soils. The average USLE-K factor was determined to be 0.22 for forests, while it was determined to be 0.17 and 0.18 for agriculture and grassland areas, respectively. According to the USLE-K factor, 68.37% of the watershed was dominated by moderately erodible soils, while 31.63% consisted of highly erodible soils. Based on the colloid–moisture equivalent ratio, erosion ratio, and clay ratio, which are statistically different erodibility features, the grassland soils of the research area were found to be more susceptible to erosion than forest and agricultural soils. In terms of aggregate stability, which indicates resistance to water erosion, forest areas had higher values, while agricultural lands were more prone to erosion. Full article

This dataset shows the original validation and standardization of the Questionnaire for the Self-Assessment of Service-Learning Experiences in Higher Education (QaSLu). The QaSLu is the first instrument to measure university service-learning (USL), validated following a strict qualitative and quantitative process by a sample of experts in USL and generating rating scales for different profiles of professors. The Delphi method was used for the qualitative validation by 16 academic experts, who evaluated the relevance and clarity of the items. After two consultation rounds, 45 items were qualitatively validated, generating the QaSLu-45. Then, 118 instructors from 43 universities took part as the sample in the quantitative validation procedure. Quantitative validation was carried out through goodness-of-fit measures using confirmatory factor analysis and the final configuration optimized using one-factor robust exploratory factor analysis, determining the most optimal version of the questionnaire under the law of parsimony, the QaSLu-27, with only 27 items and better psychometric properties. Finally, rating scales were calculated to compare different profiles of USL professors. These findings offer a valid, strong, and trustworthy instrument. The QaSLu-27 may be helpful for the design of USL experiences, in addition to facilitating the assessment of such programs to enhance teaching and learning processes. Full article

Post-COVID-19 (PC) and post-COVID-19 vaccination (PCV) syndromes are considered emergent multidisciplinary disorders. PC/PCV small fiber neuropathy (SFN) was rarely described and its association with undifferentiated arthritis (UA) was never defined. We aimed to evaluate PC/PCV-UA associated with the recent onset of severe lower limb paresthesia, compare SFN positive (+) to negative (−) patients, and evaluate changes in biomarkers in SFN+ during treatments. Nineteen PC/PCV-UA-patients with possible SFN underwent skin biopsy at the Usl Tuscany Center (Florence) early arthritis outpatient clinic from September 2021 to March 2024. Eight selected SFN+ were compared to ten SFN− patients. In SFN+ patients, baseline joint ultrasound (US), electromyography (EMG), optical coherence tomography (OCT), and skin biopsy were repeated at six months. Moreover, SFN+ patients were clinically assessed by a 0–10 numeric rating scale for neurological symptoms and DAS28/ESR up to 12 months follow-up. SFN+ patients showed a lower intraepidermal nerve fiber density at histopathological examination of skin biopsies and a higher frequency of OCT and EMG abnormalities in comparison to SFN− patients. In SFN+ patients, US and DAS28/ESR significantly improved, while intraepidermal nerve fiber density did not significantly change at the six-month follow-up. Fatigue, motor impairment, burning pain, brain fog, and sensitivity disorders decreased at long-term follow-up (12 months). Full article

The main objective of this study is to investigate the supply of ecosystem services (ESs) within peri-urban watersheds (PUWs) across Greece, utilizing earth observation (EO) data and empirical models. To achieve these goals, several open-access geospatial datasets were utilized and processed within a GIS environment. Specifically, the supply of soil conservation and water retention services was assessed at the watershed scale. The results indicates that the supply soil conservation service withing the examined PUWs range from 44.41 t ha⁻¹ y⁻¹ to 441.33 t ha⁻¹ y⁻¹ with an average value of 161.99 t ha⁻¹ y⁻¹. Water retention services vary from 35.09 to 154.63 mm within the PUWs, with an average of 91.45 mm. Additionally, the variation in ES values across distinct altitudinal zones and ecosystem types provides useful insights for implementing protection and management measures. It is evident from the analysis that the soil conservation service gradually increases with elevation, with alpine and subalpine areas exhibiting the highest values. Moreover, mountainous and semi-mountainous regions demonstrate higher values compared to the estimated average soil conservation services of the entire study area. Furthermore, the provision of water retention services varies across different altitudinal zones. Specifically, the mountainous and semi-mountainous areas exhibit the highest values, followed by the subalpine and hilly regions, while lower values are observed in the lowland and alpine regions. The analysis also reveals distinct patterns in ecosystem services across various ecosystem types within the PUWs. Woodland and forest, along with heathland and shrubs, demonstrate higher values in terms of both soil conservation and water retention services. Our findings contribute to understanding the dynamics of ESs in PUWs, highlighting their significance for sustainable land management, and informing policy decisions aimed at preserving ecosystem health and resilience. Full article

This study investigated the influences of ultrafine fly ash (UFA) and ultrafine slag powder (USL) on the compressive strengths, autogenous shrinkage, phase assemblage, and microstructure of magnesium potassium phosphate cement (MKPC). The findings indicate that the aluminosilicate fractions present in both ultrafine fly ash and ultrafine slag participate in the acid–base reaction of the MKPC system, resulting in a preferential formation of irregularly crystalline struvite-K incorporating Al and Si elements or amorphous aluminosilicate phosphate products. UFA addition mitigates early age autogenous shrinkage in MKPC-based materials, whereas USL exacerbates this shrinkage. In terms of the sustained mechanical strength development of the MKPC system, ultrafine fly ash is preferred over ultrafine slag powder. MKPC pastes with ultrafine fly ash show greater compressive strength compared to those with ultrafine slag powder at 180 days due to denser interfaces between the ultrafine fly ash particles and hydration products like struvite-K. The incorporation of 30 wt% ultrafine fly ash enhances compressive strengths across all testing ages. Full article

Two-plus-one (2+1) highways are a special configuration of two-lane two-way (TLTW) highways with a continuous center lane that is used to alternate passing lanes. The main objective of this paper is, therefore, to evaluate the suitability of the 2+1 design for Middle East conditions as a replacement for traditional TLTW roads with higher traffic volumes or as an interim solution before transforming TLTW roads into four-lane highways. In our analysis, we considered both safety and mobility performances by comparing the 2+1 and TLTW designs. The new suggested 2+1 designs were evaluated, with the first design prohibiting overtaking in the opposite direction, while the second design permitted it. Additionally, two-speed-limit strategies, uniform speed limit (USL), and differential speed limit (DSL) were also evaluated. The results showed that the 2+1 design, which prohibited overtaking in the opposite direction, was superior to TLTW in terms of mobility and safety, while the other design compromised safety compared to TLTW. The results provide valuable information to policymakers, urban planners, and transport authorities to guide evidence-based decisions on the integration of the 2+1 design as a viable solution for sustainable and efficient transportation. Full article

Tropical cyclone rapid intensification (RI) prediction still remains a big international challenge in numerical weather prediction. Hurricane Matthew (2016) underwent extreme and non-classic RI, intensifying from a Category 1 storm to a Category 5 hurricane within 24 h under a strong vertical shear environment. However, most models failed to capture this RI, and limited or no inner core, and outflow observations were assimilated in the NWS operational HWRF Model before the onset of RI for Matthew (2016). The goals of the study are to (1) explore the best way to assimilate the High-Density Observations (HDOB, including FL and SFMR) and AMV data; (2) study the impact of assimilating these observations on the analysis of both the inner-core and outflow structures; and (3) examine the impact of assimilating these data on the prediction of RI for Matthew. The main results are as follows: (1) With proper pre-processing of the HDOB observations and by using a 4DEnVar method, the inner-core structure analysis was improved. And the RI prediction is more consistent with the best track without spin-down for the first 24 h. Assimilating CIMMS AMV observations on top of the HDOB observations further improves both the track and intensity forecasts. Specifically, both the magnitude and timing of the peak intensity are further improved. (2) Diagnostics are conducted to understand how the assimilation of these different types of observations impacts RI prediction. Without assimilating HODB and AMV data, baseline experimentover-predict the intensification rate during the first 18 h, but under-predict RI after 18 h. However, the assimilation of FL and SFMR and CIMMS AMV correctly weakens the upper-level outflow and improves the shear-relative structure of the inner-core vortex, such as reducing the low-level moisture in the downshear left quadrant. The deep convection on the downshear side is weaker than baseline for the first 18 h but keeps enhancing, later moving cyclonically to the USL quadrant, and then causes more subsidence warming, maximizing in the USL quadrant and the maximum wind increases faster. Moreover, the rapid intensification rate is much more consistent with the best track and the forecast skill of RI is improved. Therefore, 4DEnVar assimilation with proper pre-processing of the high-density observations can indeed correct the shear-relative moisture and structural distributions of both the inner core and environment for TCs imbedded in the stronger shear, which is important for shear-TC RI prediction. Full article

This study applies the WaTEM/SEDEM model, a watershed-scale model based on the Universal Soil Loss Equation (USLE), to enhance sustainable watershed management by identifying high-erosion-risk areas for targeted mitigation at various scales. It focuses on identifying potential errors in using statewide or worldwide land use data layers derived from remote-sensing algorithms and inaccuracies in the spatial distribution of cropland and soil types resulting in misinterpretation of sediment yields. These model limitations emphasize the need for field validation and precise input data, particularly stream data, to improve the reliability of these models. The study examines hydrologic rainfall-runoff processes in Tennessee’s 182 km² Oostanaula catchment using various data sources, including the National Land Cover Database (NLCD), the European Space Agency WorldCover dataset (ESA), and manual field surveys. Three modeling scenarios were evaluated, with and without stream topology corrections, using the WaTEM/SEDEM model. It details the global data used, the methodology of the field survey, the simulation and validation of data, and the critical point identification. Significant discrepancies in long-term sediment transport predictions were found, depending on the land use data source. This study addresses watershed model validity and potential errors and recommendations for the use of globally available data. Full article

The Yellow River Basin has been considered to have the most serious soil erosion in the world, and identifying and mapping the spatial controlling factors would be of great help in adopting targeting strategies for soil erosion prevention. This study used the Universal Soil Loss Equation (USLE) to estimate the spatial and temporal changes in soil erosion from 1985 to 2020 and analyzed the controlling factors. The results indicated that from 1985 to 2020, the average erosion modulus in the Yellow River Basin was 1160.97 t∙km⁻²∙yr⁻¹, and the erosion modulus in the middle reach was significantly greater than in the lower and upper reaches. Changes in vegetation coverage, rainfall and land use controlled 38.95%, 40.87% and 9.21% of soil erosion changes, respectively. Among them, the area in which soil erosion was decreased due to increased vegetation coverage accounted for 70.77% of the area controlled by vegetation coverage, while the area in which soil erosion was increased due to increased rainfall accounted for 86.62% of the area controlled by rainfall. These results prove the effectiveness of vegetation restoration projects in controlling soil erosion in the Yellow River Basin, but more attention needs to be paid to the impact of rainfall on soil erosion in the future. Full article

Background and Objectives: Uterosacral ligaments (USLs) suspension is a well-studied, safe, and long-lasting technique for central compartment correction. Preliminary clinical experiences showed encouraging data for this technique, also for post-hysterectomy vaginal vault prolapse surgical treatment. However, up-to-date evidence for post-hysterectomy vaginal vault prolapse repair through high uterosacral ligaments suspension is limited. Consequently, with this study, we aimed to assess the efficiency, complications frequency, and functional results of native-tissue repair through USLs in vaginal vault prolapse. Materials and Methods: This was a retrospective study. Women with symptomatic vaginal vault prolapse (≥stage 2) who underwent surgery with transvaginal native-tissue repair by high uterosacral ligaments were included. Patient characteristics, preoperative assessment, operative data, postoperative follow-up visits, and re-interventions were collected from the hospital’s record files. High uterosacral ligament suspension was performed according to the technique previously described by Shull. A transverse apical colpotomy at the level of the post-hysterectomy scar was performed in order to enter the peritoneal cavity. USLs were identified and transfixed from ventral to dorsal with three absorbable sutures. Sutures were then passed through the vaginal apex and tightened to close the transverse colpotomy and suspend the vaginal cuff. At the end of the surgical time, a diagnostic cystoscopy was performed in order to evaluate ureteral bilateral patency. Using the POP-Q classification system, we considered an objective recurrence as the descensus of at least one compartment ≥ II stage, or the need for a subsequent surgery for POP. The complaint of bulging symptoms was considered the item to define a subjective recurrence. We employed PGI-I scores to assess patients’ satisfaction. Results: Forty-seven consecutive patients corresponding to the given period were analyzed. No intraoperative complications were observed. We observed one postoperative hematoma that required surgical evacuation. Thirty-three patients completed a minimum of one-year follow-up (mean follow-up 21.7 ± 14.6 months). Objective cure rate was observed in 25 patients (75.8%). No patients required reintervention. The most frequent site of recurrence was the anterior compartment (21.2%), while apical compartment prolapse relapsed only in 6% of patients. An improvement in all POP-Q parameters was recorded except TVL which resulted in a mean 0.5 cm shorter. Subjective recurrence was referred by 4 (12.1%) patients. The mean satisfaction assessed by PGI-I score was 1.6 ± 0.8. Conclusion: This analysis demonstrated that native-tissue repair through high USL suspension is an effective and safe procedure for the treatment of post-hysterectomy vaginal vault prolapse. Objective, subjective, functional, and quality of life outcomes were satisfactory, with minimal complications. Full article